Provider Demographics
NPI:1093230633
Name:WHICKER, RONALD JR (LCSW, LCAS)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:
Last Name:WHICKER
Suffix:JR
Gender:M
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 FLEMING ST STE 5
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3541
Mailing Address - Country:US
Mailing Address - Phone:828-595-2746
Mailing Address - Fax:
Practice Address - Street 1:840 FLEMING ST STE 5
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3541
Practice Address - Country:US
Practice Address - Phone:285-952-7468
Practice Address - Fax:828-595-2716
Is Sole Proprietor?:No
Enumeration Date:2017-08-04
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22879101YA0400X
NCP0104151041C0700X
NCC0122661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)